His baseline is clear. ??clerins is 74. Cancer patient.
Posted By: kjlange on 2007-10-25
In Reply to:
Subject: His baseline is clear. ??clerins is 74. Cancer patient.
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maybe patient's words for "colonoscopy?" If it's clear, I sm
Subject: maybe patient's words for "colonoscopy?" If it's clear, I sm
would put it in quotes and flag it.
cancer patient med
Subject: cancer patient med
MEDICATIONS: Trazodone, Rispiridol, (what sounds like "Vandryl ") and over-the-counter medications including Colace, Tylenol and Centrum Silver.
I only need help with the medication which sounds like Vandryl. I have spent too many minutes Googling.
Help please!
Does this patient have a dx of cancer? NM
Subject: Does this patient have a dx of cancer? NM
Patient has IgM-positive s/l rabesia titer. He's usually so clear...
Subject: Patient has IgM-positive s/l rabesia titer. He's usually so clear...
nm
Meant...the patient probably wrote Lantrex, as he's very clear. Oh well.
Subject: Meant...the patient probably wrote Lantrex, as he's very clear. Oh well.
nm
Apparently part of patient's history, but not clear...
Subject: Apparently part of patient's history, but not clear...
MRI is reviewed confirming the presence of a full-thickness supraspinatus tendon tear with early glenohumeral arthritis. The patient apparently had a long head biceps tendon operation as well, perhaps s/l an or in acoa.
The patient has another orthopaedic surgeon in New York that has done a shoulder procedure (he says this in the HPI) and I can't tell if he's saying "an" or "in" acoa.
Thanks MT50.
If this is a cancer patient, there is Evoxac
Subject: If this is a cancer patient, there is Evoxac
Patient with breast cancer is to
Subject: Patient with breast cancer is to
undergo a s/l boostfield?
patient with ovarian cancer sm
Subject: patient with ovarian cancer sm
Recurrent ovarian cancer currently with symptomatic ascites and decreased urine output. It is likely that the patient is currently "A-THIRD-SPACING" from her ascites and is somewhat intravascularly depleted. We will therefore admit the patient for IV fluid hydration and give her a liter bolus.
For the life of me, I can't hear anything else. What is this?
This patient with rectal cancer has
Subject: This patient with rectal cancer has
no rectal bleeding, incontinence, urgency or s/l pan nis sim a. Thanks for any ideas.
patient with breast cancer - please sm
Subject: patient with breast cancer - please sm
Currently, she has had little side effects from the chemo, mainly nausea and vomiting which s/l halgo took care of. Thanks
RX in patient with pancreatic cancer s/l ferlexa.
Subject: RX in patient with pancreatic cancer s/l ferlexa.
Caragrape mouthwash for cancer patient? TIA!
Subject: Caragrape mouthwash for cancer patient? TIA!
:)
Two questions on lung cancer patient report
Subject: Two questions on lung cancer patient report
My questions are in two sentences one after the other. Sometimes he says period but then really continues on with the same sentence, so I'm not sure if the first sentence is really a complete sentence or not, so the sentence before basically said a PET scan revealed an increase in the size of the hypermetabolic subcarinal lymph node, consistent with subcarinal metastases.
1. "Stable [s/l lock laid right] pleural fluid thickening, but the associated hypermetabolism has resolved." This could maybe be "stable likely right pleural," but I'm not sure if that makes sense and I think I'm hearing a "d" at the end.
2. "There was a small right level 2 node that has become [s/l non rye valk] consistent with an evolving inflammatory process."
doctor lists ALL medications the patient is on (she has cancer) s/l ear-bar-ca-tin.
Subject: doctor lists ALL medications the patient is on (she has cancer) s/l ear-bar-ca-tin.
d
the patient is S/P lumpectomy / ____ biopsy for breast cancer.
Subject: the patient is S/P lumpectomy / ____ biopsy for breast cancer.
This doc keeps saying what sounds like:
lumpectomy / "center node" biopsy or "sentinel" biopsy?
He is a mush-mouth. Any help appreciated!!!
Does this patient have cancer? If so, do they state what type? Almost sounds like a new drug
Subject: Does this patient have cancer? If so, do they state what type? Almost sounds like a new drug
therapy? It would help to know the diagnosis. Does the doc state what the diagnosis is?
Oh, and patient has Alzheimer's, CAD status post MI and colon cancer TIA again, nm
Subject: Oh, and patient has Alzheimer's, CAD status post MI and colon cancer TIA again, nm
**
If the patient has prostate cancer and is having brachytherapy or seed implantations it would be BIC
Subject: If the patient has prostate cancer and is having brachytherapy or seed implantations it would be BIC therapy
patient with breast cancer status post lumpectomy and s/l *XOT*? Thanks nm
Subject: patient with breast cancer status post lumpectomy and s/l *XOT*? Thanks nm
patient with breast cancer. skin reveals no evidence of *poterauge*??? thanks. nm
Subject: patient with breast cancer. skin reveals no evidence of *poterauge*??? thanks. nm
nm
He says earlier the patient has prostate cancer metastatic to the bone, so I'm thinking it's p
Subject: He says earlier the patient has prostate cancer metastatic to the bone, so I'm thinking it's prob. "has had known"
Cancer patient cbc results. White blood cell count reached a S/L nater?
Subject: Cancer patient cbc results. White blood cell count reached a S/L nater?
The patient is a cancer patient having chemo. The cbc report says "The white blood cell count did - or did not - reach a NATER of 2.3 after his last cycle. I'm pretty new to oncology notes... Help please..
Vitamin B6 and B12, s/l and game-a-pinto.Cancer patient has tingling/numbnes in feet and hands.TIA!!
Subject: Vitamin B6 and B12, s/l and game-a-pinto.Cancer patient has tingling/numbnes in feet and hands.TIA!!
may be baseline nm
Subject: may be baseline nm
nm
no, it is not baseline
Subject: no, it is not baseline
lab test.. Will obtain a CBC and s/l Kim 7 for baseline. Thank you
Subject: lab test.. Will obtain a CBC and s/l Kim 7 for baseline. Thank you
baseline wandering lead 4.
Subject: baseline wandering lead 4.
baseline underlying dementia?
Subject: baseline underlying dementia?
Mental status changes most probably secondary to <s/l baseline underlying dementia>.
Anyone ever hear this before?
Abnormal ECT, baseline "wander" in "V 4" or "lead four". ?? nm
Subject: Abnormal ECT, baseline "wander" in "V 4" or "lead four". ?? nm
my accounts use BOS as a baseline, dictators override it. sm
Subject: my accounts use BOS as a baseline, dictators override it. sm
in retrospect, every account I've ever had has done it that way.
I am assuming that the sentence should read his baseline creatinine clearance is 74.
Subject: I am assuming that the sentence should read his baseline creatinine clearance is 74.
maybe BDI (baseline dyspnea index) a score of 1 would indicate severe impairment. Just a guess.
Subject: maybe BDI (baseline dyspnea index) a score of 1 would indicate severe impairment. Just a guess.
x
From cancer.org: "Sutent isn't the only drug making inroads against kidney cancer. Sorafenib (
Subject: From cancer.org: "Sutent isn't the only drug making inroads against kidney cancer. Sorafenib (Nexavar), ..."
See inside for colon cancer staging per the American Cancer Society.
Subject: See inside for colon cancer staging per the American Cancer Society.
http://www.cancer.org/docroot/CRI/content/CRI_2_4_3X_How_is_colon_and_rectum_cancer_staged.asp
http://www.cancer.gov/ is a great reference (National Cancer Institute)
Subject: http://www.cancer.gov/ is a great reference (National Cancer Institute)
It is so clear Fair a con FE, can't get Femcon FE, it is just so clear. :(
Subject: It is so clear Fair a con FE, can't get Femcon FE, it is just so clear. :(
She has pancreatic cancer and a history of breast cancer.
Subject: She has pancreatic cancer and a history of breast cancer.
MD Anderson is a cancer center so if hysterectomy is for cancer, I would go with that one.
Subject: MD Anderson is a cancer center so if hysterectomy is for cancer, I would go with that one.
But never heard of Andy Anderson, so no help there.
doc dictates "the patient has 120 pack year smoking history", patient is 75...is that right???
Subject: doc dictates "the patient has 120 pack year smoking history", patient is 75...is that right???? NM
Dermatology: Skin precancer or pre-skin cancer? I have a doc saying pre-skin cancer
Subject: Dermatology: Skin precancer or pre-skin cancer? I have a doc saying pre-skin cancer
Patient is here for an s/l eflex injection. Patient previously had Orthovisc.
Subject: Patient is here for an s/l eflex injection. Patient previously had Orthovisc.
nm
OB patient - s/l The patient has a 'null' sign.
Subject: OB patient - s/l The patient has a 'null' sign.
just to be clear...
Subject: just to be clear...
I just want to be sure about whether since she specified it is left side only that extensor hallucis "is" and not extensor hallucis "are". If she said bilateral then it would read extensor hallucis are 4+/5 -- am I getting that part correct? TIA
To be clear?
Subject: To be clear?
Hallucis IS.......halluces ARE. You will know when she is talking about a different side or bilateral. Don't over-think your dictator, okay? I'm thinking you may be new (I hope) and these things will become more clear as you go.
I know you're trying to get it perfect, but she knows what she's doing with the foot/feet. :)
it is very clear
Subject: it is very clear
She keeps referring to white matter abnormalities with signal loss and T2 prolongation through the entire report, so I am thinking leuko (white) something....no idea
I wish...but it's very clear. Thanks
Subject: I wish...but it's very clear. Thanks
Just to be clear
Subject: Just to be clear
My "duh" in the other post was for ME, not you. Didn't want any misunderstanding. Thanks for your help!
Clear? Nm
Subject: Clear? Nm
nm
Yes, it is clear. Thank you!
Subject: Yes, it is clear. Thank you!
x
I think if it's not clear
Subject: I think if it's not clear
I would leave a blank, although it is probably hypocoagulable (my Stedman's oncology book has this word) and we used it in the lab, such as defective clotting with factor deficiences such as hemophilia, von Willebrand (which heavy menstrual flow can be a sign), low platelet count, ITP, liver disorders that affect vitamin K production, etc. But it's really hard to say without knowing more about this patient because, if I can explain this right, there are conditions or situations that can cause hypercoagulable states that then use up all the clotting factors, etc., and then cause bleeding. So really need to know more on what the patient's other symptoms, family history, etc. to be sure on something like this when you can't hear for sure, I think anyway. Sorry for the long essay here, used to be one of my areas of interest a long time ago. Once worked up a lady who had heavy, heavy vaginal bleeding after childbirth, was in really bad DIC, docs had a heck of a time saving her. You can google on some of this if you're interested.
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